MEDICARE: DR. CHRISTOPHER SEAN ANTON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	20978	TX

General Provider Information

NPI Number	:	1699810960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SEAN ANTON D.D.S.

Provider Business Mailing Address
First Line	:	25826 SARAH SPRINGS CT
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77373-4979
Country	:	US
Telephone Number	:	281-353-4798
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 NORTH LOOP W STE 1000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1680
Country	:	US
Telephone Number	:	713-861-3231
Fax Number	:	713-426-1720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	06/05/2009

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